Individual
CHARITY NWOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 MARION AVE, 1 C, BRONX, NY 10458-4715
(917) 549-5602
Mailing address
2605 MARION AVE, 1 C, BRONX, NY 10458-4715
(917) 549-5602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287610-1
NY
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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